| NPI | 1104945690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 239352) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 235334-1) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2011-09-27 |